Active NPI
Rami Grossman
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1801563739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11516
- Practice address
- 2600 Century Pkwy NE
Atlanta, GA 30345-3125 - Phone
- (678) 314-6905
- NPI assigned
- Aug 27, 2021
- Last updated
- Apr 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11516 | GA | Primary |
Addresses
Primary practice location
2600 Century Pkwy NE
Atlanta, GA 30345-3125
Mailing address
5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11516 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1801563739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5670 PEACHTREE DUNWOODY RD STE 1000",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303424790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 CENTURY PKWY NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453125",
"telephone_number": "678-314-6905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "RAMI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-27",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "11516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.